Orginal Publication Date
MCV/Q, Medical College of Virginia Quarterly
The title of this talk, "Family Tension and Psychophysiological Illness," in itself implies that physiological changes may result from psychological forces connected with interpersonal as well as intrapersonal factors. This I firmly believe. For the most part, people do not become ill solely as the result of physiological changes. Illness usually occurs within the context of difficulties in interpersonal relations which, in the majority of instances, means the family. This does not mean that, once the patient becomes ill, he cannot be treated individually, or that, once the illness starts, the intrapsychic conflicts unleashed by it will not run their course despite favorable changes in the family situation which precipitated the illness. Actually the real test of the clinician is in coming to a decision as to where he should focus his therapeutic interventions when dealing with a patient in whom family tension is clearly playing an important role.
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